家长在家中为儿童准备和喂服口服药时所面临的困难：来自巴勒斯坦的一项横断面研究。
The difficulties experienced during the preparation and administration of oral drugs by parents at home: a cross-sectional study from Palestine.
机构信息
Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
出版信息
BMC Pediatr. 2020 May 7;20(1):198. doi: 10.1186/s12887-020-02105-w.
BACKGROUND
Failure to properly administer drugs to children at home may cause adverse events, which makes it a challenging job for parents or caregivers. The main goal of this study was to investigate the problems and difficulties that parents or caregivers faced when administering oral drugs to their children at home.
METHODS
A cross-sectional study was conducted using a questionnaire consisting of 'yes/no' and multiple-response questions to assess parents' experiences and problems with administering medication to their children at home. Data was collected from parents who visited primary health care centres in Nablus. Descriptive analysis was conducted to describe the characteristics of the sample.
RESULTS
We interviewed 420 parents. 91.9% of the parents used drugs without prescription from a doctor, and the most commonly used non-prescription medicines were antipyretics (n=386, 100%), influenza drugs (n=142, 36.8%), cough drugs (n=109, 28.2%) and antibiotics (n= 102, 26.4%). The study showed that 21.7% of parents used teaspoon and 7.1% used tablespoon in administering liquid medications to their children. When the children refused taking liquid medications, almost two-thirds of the parents (65.7%) insisted their children take them, 21.5% mixed it with juice, 5.2% mixed it with food and 4.7% mixed it with milk. 12.4% of the parents reported that they gave drugs in doses higher than prescribed by the doctor to treat their children more quickly. Also, our study revealed that 80.5% of the parents gave medications at incorrect intervals.
CONCLUSIONS
This study has shown that there is a proportion of caregivers or parents who administer oral drugs to their children incorrectly, which may involve giving them at the wrong intervals or doses, using incorrect instruments, or mixing them with food, juice or milk. The development of educational programs that will provide parents with education about medication administration is therefore recommended.
背景
在家中给儿童用药不当可能会导致不良事件，这使得父母或看护者的工作极具挑战性。本研究的主要目的是调查父母或看护者在家中给儿童喂药时所面临的问题和困难。
方法
采用横断面研究方法，设计包含“是/否”和多项选择问题的问卷，评估父母在家中给儿童喂药的经验和问题。数据来自纳布卢斯初级保健中心的父母。采用描述性分析方法描述样本特征。
结果
我们共采访了 420 位父母。91.9%的父母未经医生处方使用药物，最常使用的非处方药物为退烧药（n=386，100%）、流感药物（n=142，36.8%）、咳嗽药物（n=109，28.2%）和抗生素（n=102，26.4%）。研究表明，21.7%的父母用茶匙给儿童喂服液体药物，7.1%的父母用汤匙喂服。当儿童拒绝服用液体药物时，近三分之二（65.7%）的父母会坚持让孩子服药，21.5%的父母会将药物混入果汁，5.2%的父母会混入食物，4.7%的父母会混入牛奶。12.4%的父母会给孩子服用高于医生开的剂量，以更快地治疗孩子。此外，我们的研究显示，80.5%的父母给药间隔时间不正确。
结论
本研究表明，有一部分看护者或父母给儿童喂药的方式不正确，可能包括给药时间或剂量错误、使用错误的工具、将药物与食物、果汁或牛奶混合。因此，建议开发教育计划，为父母提供药物管理方面的教育。
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